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The Tumoral Form of Schistosomiasis: Report of a Case with Cerebellar Involvement^*

Eduardo Alves Bambirra, Jose de Souza Andrade, Itamar Cesarini, Pedro Alcantara Rodrigues AND Carlos Alberto Sampaio Assis Drummond

Department of Pathology, Federal University of Minas Gerais
Department of Neurology and Neurosurgery, Felicio Rocho Hospital, Belo Horizonte, Minas Gerais, Brazil

The tumoral form of schistosomiasis mansoni is rare and has not been described in the brain, in which schistosome eggs usually elicit a granulomatous inflammation. A 20-year-old Brazilian man had the tumoral form of schistosomiasis of the cerebellum which was treated surgically. Histological study of the excised cerebellar mass demonstrated a massive granulomatous reaction around Schistosoma mansoni eggs and massive necrotic areas. To our knowledge, this is the first case of schistosomiasis mansoni of the brain presenting as a posterior fossa mass with the characteristic necrotic granulomas.

Accepted for publication July 28, 1983.

^* Address reprint requests to: Dr. Eduardo A. Bambirra, R. Turmalina, 274—Prado, CEP 30000—Belo Horizonte, Minas Gerais, Brazil, S.A.